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Sunday School/ Youth Registration Form
Please complete a separate form for each child.
Child's Full Name
*
Child's Gender
*
Child's Full Address:
Child's Date of birth
*
Day
Month
Month
Year
Parent/Guardian(s) Full Name(s)
*
Parent/Guardian(s) Mobile No(s)
*
Parent/ Guardian's Full Address (if different to child)
Parent/ Guardian Email(s)
*
My child is allowed refreshments
Yes
No
In the unlikely event of illness or accident, I give permission for my child to receive the appropriate first aid
Yes
No
My child has an allergy/ medical condition/ special need/ dietary requirement
Yes
No
If you answered yes to the above question, please supply additional information:
Your Name
*
Date completed
*
Day
Month
Year
Signature
*
Sign in the box or use the keyboard to type.
Signature field is empty.
Clear
Submit
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